Year 2024 / Volume 116 / Number 10
Letter
Monomorphic epitheliotropic intestinal T-cell lymphoma (MEITL) complicated with intestinal obstruction and perforation

569-571

DOI: 10.17235/reed.2024.10407/2024

Macarena Soto Dopazo, Yaiza Rey Fanjul, Pablo Chamorro Chamorro, María Desirée Díaz González,

Abstract
We report the case of a patient who comes to the emergency department with abdominal pain, oral intolerance and bloody stools, being diagnosed with intestinal obstruction secondary to a jejunal tumor with contained perforation. A laparotomy was performed with resection of the jejunal tumor and taking biopsies from lesions with similar characteristics in the rest of the small bowel compatible with monomorphic epitheliotropic intestinal T-cell lymphoma (MEITL). The monomorphic epitheliotropic intestinal T-cell lymphoma is a rare intestinal tumor with a poor prognosis that is characterized by the proliferation of intraepithelial lymphocytes. The abdominal symptoms are nonspecific and the known major complications are intestinal perforation and obstruction. There is no standard therapeutic approach, being a combination of surgical resection, chemotherapy and autologous stem cell transplant.
Share Button
New comment
Comments
No comments for this article
References
1. Fontaine Kent L, Rodgers DL, McGhee JA, Patel VG. Monomorphic Epitheliotropic Intestinal T-Cell Lymphoma (MEITL) Within a Meckel's Diverticulum. Am Surg. 2021 Jan;87(1):101-102. DOI: 10.1177/0003134820943563.
2. Van Vliet C, Spagnolo DV. T- and NK-cell lymphoproliferative disorders of the gastrointestinal tract: review and update. Pathology. 2020 Jan;52(1):128-141. DOI: 10.1016/j.pathol.2019.10.001.
3. Silva JF, Medas R, Fonseca E, Macedo G. A rare case of monomorphic epitheliotropic intestinal T-cell lymphoma mimicking Crohn's disease. Rev Esp Enferm Dig. 2022;114:497-498. DOI: 10.17235/reed.2022.8757/2022.
4. Domoto H, Araki T, Ogai A, Inukai M, Chen CK, Tomita S, Mukai K, Nakamura N. Surface CD3-negative monomorphic epitheliotropic intestinal T-cell lymphoma. J Clin Exp Hematop. 2022 Sep 28;62(3):169-174. DOI: 10.3960/jslrt.22005.
5. Bissessur AS, Zhou JC, Xu L, Li ZQ, Ju SW, Jia YL, Wang LB. Surgical management of monomorphic epitheliotropic intestinal T-cell lymphoma followed by chemotherapy and stem-cell transplant: A case report and review of the literature. World J Gastrointest Oncol. 2022 Nov 15;14(11):2273-2287. DOI: 10.4251/wjgo.v14.i11.2273.
Related articles

Letter

Coincidental oral lesions in Crohn’s disease

DOI: 10.17235/reed.2023.9992/2023

Letter

An uncommon cause of intestinal obstruction: Vanek’s tumor

DOI: 10.17235/reed.2023.9914/2023

Letter

When intestinal obstruction is not a surgical condition

DOI: 10.17235/reed.2023.9630/2023

Letter

Intestinal obstruction due to pneumatosis intestinalis

DOI: 10.17235/reed.2023.9608/2023

Letter

Duodenal stenosis surgical treatment in Crohn’s disease

DOI: 10.17235/reed.2023.9521/2023

Digestive Diseases Image

Iatrogenic Small Intestinal Obstruction

DOI: 10.17235/reed.2022.9225/2022

Digestive Diseases Image

Intestinal obstruction due to bariolith impaction

DOI: 10.17235/reed.2022.9084/2022

Digestive Diseases Image

Peristomal cutaneous Crohn's disease by contiguity

DOI: 10.17235/reed.2022.8909/2022

Letter

A large perforated gastric ulcer due to cocaine use

DOI: 10.17235/reed.2022.8676/2022

Digestive Diseases Image

Crack cocaine abuse as an undescribed cause of gastric outlet obstruction

DOI: 10.17235/reed.2022.8438/2021

Letter

Wernicke encephalopathy following advanced caecum cancer

DOI: 10.17235/reed.2021.8343/2021

Letter

Anal neoplasia and perianal Crohn’s disease: myth or reality?

DOI: 10.17235/reed.2021.8317/2021

Digestive Diseases Image

Cold loop polypectomy perforation of a tiny colon polyp

DOI: 10.17235/reed.2021.8221/2021

Digestive Diseases Image

Atypical image of pneumoperitoneum secondary to colon perforation

DOI: 10.17235/reed.2021.8180/2021

Letter

Biliary stent migration as a rare cause of ileal perforation

DOI: 10.17235/reed.2021.8073/2021

Digestive Diseases Image

Abdominal cocoon sign: an unusual cause of intestinal obstruction

DOI: 10.17235/reed.2021.8057/2021

Letter

Adenocarcinoma of the small intestine in Crohn's disease

DOI: 10.17235/reed.2021.8050/2021

Digestive Diseases Image

Esophageal perforation secondary to an arterial embolization device in scimitar syndrome

DOI: 10.17235/reed.2021.7832/2021

Letter

Intestinal obstruction caused by Anisakis

DOI: 10.17235/reed.2020.7409/2020

Letter

Chronic intestinal pseudo-obstruction in MELAS

DOI: 10.17235/reed.2020.7099/2020

Digestive Diseases Image

Waugh’s syndrome: a rare cause of bowel obstruction in adults

DOI: 10.17235/reed.2020.6977/2020

Original

Closure of colonic deep mural injury and perforation with endoclips

DOI: 10.17235/reed.2020.6880/2020

Letter

Crohn’s disease in patients treated with etanercept

DOI: 10.17235/reed.2019.6554/2019

Letter

Intestinal perforation in unusual location

DOI: 10.17235/reed.2019.6352/2019

Case Report

Emphysematous esophagitis with gastric perforation

DOI: 10.17235/reed.2019.6322/2019

Digestive Diseases Image

Cervical arthrodesis penetrated into the esophagus detected by gastroscopy

DOI: 10.17235/reed.2019.6222/2019

Letter

Iatrogenic superior mesenteric artery syndrome

DOI: 10.17235/reed.2018.5760/2018

Letter to the Editor

Bowel obstruction secondary to deep infiltrating endometriosis of the ileum

DOI: 10.17235/reed.2018.5364/2017

Letter to the Editor

Bowel obstruction secondary to intraluminal migration of the abdominal wall mesh

DOI: 10.17235/reed.2017.4916/2017

Digestive Diseases Image

Fishbone impaction in the colon

Letter to the Editor

Symptomatic retention of the Agile® patency capsule

DOI: 10.17235/reed.2017.4691/2016

Letter to the Editor

Meckel’s diverticulum perforated by a fishbone. An unusual presentation

DOI: 10.17235/reed.2017.4614/2016

Letter to the Editor

A complication following a biopsy sample in eosinophilic esophagitis

DOI: 10.17235/reed.2017.4560/2016

Digestive Diseases Image

An unusual enterolith ileus

Original

Mercaptopurine and inflammatory bowel disease: the other thiopurine

DOI: 10.17235/reed.2016.4546/2016

Case Report

Jejunal pseudodiverticulosis. Three cases report

DOI: 10.17235/reed.2017.4403/2016

Letter to the Editor

Colonic obstruction secondary to Actinomyces

DOI: 10.17235/reed.2017.4396/2016

Letter to the Editor

Adnexal localization of Crohn’s disease and recurrent massive ovary cysts

DOI: 10.17235/reed.2016.4301/2016

Letter to the Editor

Intestinal endometriosis. Our experience

DOI: 10.17235/reed.2016.4292/2016

Digestive Diseases Image

Wilkie´s syndrome

Case Report

Metastatic Crohn’s disease in pediatrics

DOI: 10.17235/reed.2016.3948/2015

Letter to the Editor

Crohn’s disease and Sweet’s syndrome: A debut together

DOI: 10.17235/reed.2015.3842/2015

Case Report

Ovarian involvement in Crohn´s disease: A rare complication

DOI: 10.17235/reed.2015.3764/2015

Citation tools
Soto Dopazo M, Rey Fanjul Y, Chamorro Chamorro P, Díaz González M. Monomorphic epitheliotropic intestinal T-cell lymphoma (MEITL) complicated with intestinal obstruction and perforation. 10407/2024


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 249 visits.
This article has been downloaded 26 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 16/03/2024

Accepted: 06/04/2024

Online First: 20/05/2024

Published: 09/10/2024

Article Online First time: 65 days

Article editing time: 207 days


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology